Active NPI
Daniel Burnett
- Assisted Living Facility
- Grand Blanc, MI
National Provider Identifier
1053824516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 82-3082139
- Practice address
- 6191 Porter Rd
Grand Blanc, MI 48439-8540 - Phone
- (810) 603-1393
- Fax
- (810) 603-1394
- NPI assigned
- Nov 7, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 82-3082139 | MI | Primary |
Addresses
Primary practice location
6191 Porter Rd
Grand Blanc, MI 48439-8540
Mailing address
6191 Porter Rd
Grand Blanc, MI 48439-8540
Phone (810) 603-1393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82-3082139 | MI | MD | Assisted Living Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510012800000",
"number": "1053824516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6191 PORTER RD",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484398540",
"telephone_number": "810-603-1393",
"fax_number": "810-603-1394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6191 PORTER RD",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484398540",
"telephone_number": "810-603-1393",
"fax_number": "810-603-1394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETT",
"first_name": "DANIEL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-07",
"last_updated": "2017-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "MI",
"license": "82-3082139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.